AMY BERGHOFF (PA-C) – Medical Physician Assistant, NPI 1144617663

AMY BERGHOFF (PA-C) is a healthcare provider. based in Munster, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10001814A (IN). The NPI Number for AMY BERGHOFF (PA-C) is 1144617663

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
AMY BERGHOFF (PA-C)
NPI
1144617663
Phone
(219) 924-3300
Address
730 45TH AVE
Enumeration Date
22 April 2015
Last Update Date
13 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2199243300
Graduation Year
2014 (12 years ago)
PAC ID
5294054607
Group Practice PAC ID
5092788901
Professional Enrollment ID
I20150507000229
Address ID
IN463739439SA10200AVEX301

Contacts

Secure Messaging
aberghoff@OSNWI1911.srs-direct.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for AMY BERGHOFF (PA-C)

  • 730 45TH AVE

    MUNSTER, IN 463212818

    Phone: (219) 924-3300

    Fax: (219) 934-2658

    Type: Location

  • PO BOX 3329

    MUNSTER, IN 463210329

    Phone: (219) 924-3300

    Fax: (219) 934-2658

    Type: Mailing

  • 9900 COLUMBIA AVE

    MUNSTER, IN 463214008

    Phone: (219) 924-3300

    Fax: (219) 934-2658

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $325.

Total Amount is formed as General ($325) + Research ($0) + Ownership ($0) = $325.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Lightbody Medical Technologies Inc ($168).

Total Amount

$325

General + Research + Ownership

Payments

8

Total payment records

General Amount

$325

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150507000229IPhysician AssistantINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,756112$0
99213Established patient office or other outpatient visit, 20-29 minutes438239$0
20610Aspiration and/or injection of fluid from large joint333119$0
73564X-ray of knee, 4 or more views215129$0
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose15635$0
View full utilization report →

Insurance plans in this area (ZIP 46321)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092788901View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
-IN
Physician AssistantIN
Physical Therapist In Private PracticeIL
Physical Medicine And RehabilitationIL
Orthopedic SurgeryIN
Physical Therapist In Private PracticeIN
Orthopedic SurgeryIN
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

Can I verify AMY BERGHOFF (PA-C) with an NPI only?
You can start verification with NPI 1144617663 for AMY BERGHOFF (PA-C), then check state licensing separately.
Is AMY BERGHOFF (PA-C) still practicing?
AMY BERGHOFF (PA-C) is currently listed as active in the public NPI registry.
What is AMY BERGHOFF (PA-C)'s specialty?
The listing groups AMY BERGHOFF (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does AMY BERGHOFF (PA-C) list a practice location?
Patients near Munster, Indiana may find AMY BERGHOFF (PA-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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